Lessons Learned From Implementing Health Coaching in The Heart Healthy Lenoir Hypertension Study.

Journal Article

Health coaching is increasingly important in patient-centered medical homes.Describe formative evaluation results and lessons learned from implementing health coaching to improve hypertension self-management in rural primary care.A hypertension collaborative was formed consisting of six primary care sites. Twelve monthly health coaching phone calls were attempted for 487 participants with hypertension.Participant engagement was challenging; 58% remained engaged, missing fewer than three consecutive calls. Multivariate analyses revealed that older age (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.01-1.05), African American race (O,R 1.73; 95% CI, 1.15-2.60), greater number of comorbidities (OR, 1.17; 95% CI, 1.05-1.30) and receiving coaching closer to enrollment (OR, 5.03; 95% CI, 2.53-9.99) were correlated independently with engagement. Participants reported the coaching valuable; 96% would recommend health coaching to others.Health coaching in hypertension care can be successful strategy for engaging more vulnerable groups. A more tailored approach may improve engagement with counseling.

Full Text

Duke Authors

Cited Authors

  • Donahue, KE; Tillman, J; Halladay, JR; Cené, CW; Hinderliter, A; Cummings, DM; Miller, C; Gizlice, Z; Garcia, BA; Wu, J-R; Quenum, E; Bosworth, HB; Keyserling, TC; DeWalt, D

Published Date

  • January 2016

Published In

Volume / Issue

  • 10 / 4

Start / End Page

  • 559 - 567

PubMed ID

  • 28569681

Electronic International Standard Serial Number (EISSN)

  • 1557-055X

International Standard Serial Number (ISSN)

  • 1557-0541

Digital Object Identifier (DOI)

  • 10.1353/cpr.2016.0064


  • eng